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| CONFERENCE REGISTRATION FORM 18th Annual National Health Benefits Conference & Expo (HBCE) |
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| HOME |
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| February 3-4, 2009 Tampa Convention Center, Florida |
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| Registration Fees: EMPLOYER COMMERCIAL** 1st Person $295 $345** 2nd Person 275 325 3rd Person 250 295 4th Person FREE FREE ** For those who offer health products or related services to employers, including consultants. |
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| Notes: Register early to guarantee entry - more attendees every year. No penalty if you cancel before 1/20/09 - $50 after. Add $50 if you register after January 20, 2009. |
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| Name & Title:__________________________________________________________________________________ Name & Title (2nd):______________________________________________________________________________ Company/Employer:_____________________________________________________________________________ Street:________________________________________________________________________________________ City:________________________________________State:__________Zip:________________________________ Phone:_____________________________________________Fax:_______________________________________ E-mail(s):_____________________________________________________________________________________ |
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| Please make CHECKS payable to: Health Benefits Conference & Expo Send to: 500 The Esplanade, Suite 205 Venice, FL 34285-1533 Phone: 941-484-1430 Fax: 941- 484-1410 (many complete this form and FAX with payment by credit card or send check later) E-mail: info@HBCE.com _____ Please invoice/bill my employer. |
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| Or pay by CREDIT CARD & mail or FAX to: 941- 484-1410 Credit Card (circle or check) MC___ VISA___ AMEX___ Card No.__________________________________ Exp. Date______________Total $______________ Signature _________________________________ Name on Card______________________________ |
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| THANK YOU |
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| TIN: 20-1571141 |
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| TAX DEDUCTIBILITY: Expenses of training, including registration, lodging & meals, incurred to maintain or improve skills in your profession, may be tax deductible. Consult your tax advisor. |
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